2000
DOI: 10.1159/000041055
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<i>Plasmodium falciparum</i> Malaria Infection Complicated by Haemophagocytic Syndrome in an Old Man

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Cited by 8 publications
(10 citation statements)
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“…peripheral blood, hemophagocytic evidence of marrow, abnormal results of LFTs, and hyperferritinemia were consistent with current diagnostic guidelines for hemophagocytosis [3]. Few cases of HPS have been associated with malaria, mainly due to P. falciparum [4][5][6][7]. Initially, the patient was suspected of having toxic hepatitis related to heavy drinking.…”
Section: Discussionsupporting
confidence: 74%
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“…peripheral blood, hemophagocytic evidence of marrow, abnormal results of LFTs, and hyperferritinemia were consistent with current diagnostic guidelines for hemophagocytosis [3]. Few cases of HPS have been associated with malaria, mainly due to P. falciparum [4][5][6][7]. Initially, the patient was suspected of having toxic hepatitis related to heavy drinking.…”
Section: Discussionsupporting
confidence: 74%
“…In general, HPS is probably due to inappropriate or excessive immunologic responses of T cells in association with neoplastic disease, collagen disease, or infection [6]. In HPS, high levels of IFN-g, soluble IL-2 receptor, TNF-a, IL-1, and IL-6 have been demonstrated, suggesting that elaboration of activating cytokines by T-helper cells promotes activation of macrophages in this disease [2].…”
Section: Discussionmentioning
confidence: 99%
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“…Malarial parasite was not observed in bone marrow in our case. Even, in the previous reported 12 cases of falciparum induced HLH, only 1 case had the demonstrable parasite in bone marrow as shown in Table 2b [11][12][13][14][15][16][17][18][19][20][21][22][23][24] but still malaria was considered to be the most likely cause of HLH due to temporal relationship to the illness. In our case serum LDH levels were also elevated, which, although not included in the diagnostic criteria, but have also been found to be elevated in cases of HLH reported by other studies [14].…”
Section: Discussionmentioning
confidence: 99%
“…Also this very rare syndrome is generally seen with Plasodium falciparum but not with Plasmodium vivax per say [4][5][6][7] which forms the hallmark of this case.…”
Section: Discussionmentioning
confidence: 99%